Individual
DR. JONATHAN FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1207 CALLE MARGINAL VILLAMAR, CAROLINA, PR 00979-6345
(787) 539-0404
(787) 945-7128
Mailing address
1207 CALLE MARGINAL VILLAMAR, CAROLINA, PR 00979-6345
(787) 539-0404
(787) 945-7128
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3872
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3872
PSYCHOLOGY PUERTO RICO LICENCE
PR
Enumeration date
01/31/2011
Last updated
07/21/2022
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